| NPI | 1407193378 |
|---|---|
| Former Name | BRANDI STONE MOORE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95011779) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MS 872266) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2024-11-01 |